Organization Active NPI

West End Smiles, Inc

  • Dental Clinic/Center
  • Nashville, TN
National Provider Identifier
1699281790
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8146 Issued in TN
Legal business name
WEST END SMILES, INC
Practice address
1800 W End Ave Ste 102
Nashville, TN 37203-2506
Phone
(615) 327-4904
Fax
(615) 320-5836
NPI assigned
Dec 27, 2017
Last updated
Dec 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ivana K. Hrstic, DDSNPI 1225001134
Title
Dentist
Phone
(615) 327-4904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8146 TN Primary

Addresses

Primary practice location

1800 W End Ave Ste 102
Nashville, TN 37203-2506

Mailing address

1800 W End Ave Ste 102
Nashville, TN 37203-2506
Phone (615) 327-4904

Other identifiers 1

IdentifierTypeStateIssuer
9177384MedicaidTN

Other names 1

  • West End Smiles, PLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180928000124 TN Part B Supplier - Clinic/Group Practice 7214287929 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

1800 West End Ave
Ste 102
Nashville, TN 37203
Phone (615) 327-4904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1699281790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W END AVE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032506",
            "telephone_number": "615-327-4904",
            "fax_number": "615-320-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W END AVE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032506",
            "telephone_number": "615-327-4904",
            "fax_number": "615-320-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END SMILES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "HRSTIC",
        "authorized_official_first_name": "IVANA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-327-4904",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "8146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177384",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Smiles, PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.